ICD-10: CMS Announces Another Successful End-to-End Testing Week

The Centers for Medicare & Medicaid Services (CMS) released information on the final end-to-end testing week held July 20-24, 2015. Approximately 1,200 Medicare Fee-For-Service health care providers, billing agencies, and clearinghouses participated with approximately 1,400 National Provider Identifiers (NPIs) registered to test. Twelve percent (174 testers) were repeat testers from previous testing weeks. Many new providers were chosen to test in this final phase. Over half (52.7 percent) of the claims were Professional in nature, 40.9 percent were Institutional, and just over 5 (6.4 percent) were supplier generated.

Other particulars include:

• 29,286 test claims were received
• 25,646 claims were accepted
• 87 percent acceptance rate (some testers may have performed negative testing – submitting claims with errors to see if it would reject)
• Only 1.8 percent were rejected due to invalid submission of ICD-10 diagnosis or procedure codes
• 6 percent were rejected due to invalid submission of ICD-9 diagnosis or procedure codes
• Additional rejections were due to non-ICD-10 coding related errors (invalid NPI numbers, out-of-service date ranges, etc)
• No new ICD-10 related issues were found in this testing
• There were no rejections due to front-end CMS system issues

CMS states this indicates they are fully ready to accept claims in ICD-10 Oct. 1, 2015.

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Rhonda Buckholtz

Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC,has more than 20 years of experience in healthcare, working in the reimbursement, billing, and coding sectors, in addition to being an instructor. She is responsible for all ICD-10 training and curriculum at AAPC. She has authored many articles for health care publications and has spoken at conferences across the country. She is co-chair for the WEDI ICD-10 Implementation Workgroup and has provided testimony ongoing for ICD-10 and standardization of data for NCVHS. She also sits on the Provider Outreach and Education committee for Novitas Solutions (formerly Highmark Medicare Services).

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